NYC 9/11 Public Portal Document
Page of
AIR MONITORING DATA
AND '7'7/7 TURNAROUND TIME
□ 2 hrs 0 6 hrs □ 48 hrs □ standard
CHAIN OF CUSTODY FORM □ 4 hrs 0 24 hrs □ 72 hrs B other ft P
PROJECT INFORMATION
1. Client: 3. Proiect #. 4. Project Monitor: . 4c. Rotameter Number:
______________ S'GtG to d I
2a, Project Address , o 3a. Task # i 4a. Air Sampler; ~ '”32 i T
ICO VAyytVS OQ 1 WLxvi.i\ci \
5, Date 6. Abatement Location: 7. n PCM (0 8 micron MCE) 8. f^TEM (0 45 micron MCE) 9. Type: c. □ Abatement 1. □ Environmental
cassette/niler ManUacture---------- bcL/J/T------------ Cassette/rilter Manufacture IA<L.~Fi - □ Background d. □ Post-Abate g. S[ Ambient
bill I. Ver P'S'e.Vc’jc, Lol # --------------------------------------------------------- lot # b. □ Pre Abate e. □ OSHA h, □ Other
DAILY AIR SAMPLE RECORD
w to. 11. 12, Sample Location 13. Time (24 hrs clock) 14. Flow Rate (I7min.) 15. 16. 17.
G Sample I.D. Pump Total Air Vol. # Fibers/Fields Fiber Cone. F/CC
Cd 12a, 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b,
G Nil ruber Number IWA OWA Ayg (liters) Minus Blank
M
O Field Blank
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H Field Blank
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O CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10B79, ATC NV! AP #1187)
20. Date: 21. Time: 22. Lab Name: 3^'^^ 23. Date: 24. Time: 25. Microscope Make/Serial #:
H 18. Relippuished By: 19. Received By:
to 32Z a. Analyzed By:
b. QC By:
□ Nikon Labophot 238913
□ Nikon Labophol 238917
S II
o n Nikon Labophot 239079
111 c. Lab Batch #:
§ zz:-------------------- Analysis Methodology
I 26, ATC Project Manager: 28. Comments:
27 Result To: PCM - NIOSH 7400A
TEM - AHERA
s---------- Beeper/Phone #'s
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD-Field NY-1 (1/01)
co
NYC-WTC_000179661
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